U.S. patent application number 12/063662 was filed with the patent office on 2010-02-04 for catheter, in particular ptca catheter.
This patent application is currently assigned to ABBOTT LABORATORIES VASCULAR ENTERPRISES LIMITED. Invention is credited to Boris Warnack.
Application Number | 20100030250 12/063662 |
Document ID | / |
Family ID | 37245912 |
Filed Date | 2010-02-04 |
United States Patent
Application |
20100030250 |
Kind Code |
A1 |
Warnack; Boris |
February 4, 2010 |
CATHETER, IN PARTICULAR PTCA CATHETER
Abstract
Catheter 1, in particular PTCA catheter, comprising an outer
tube 2; an inner guide wire tube 3 within the outer tube 2, said
inner guide wire tube 3 having a tip 4; a first and a second marker
5, 6 fixed to the guide wire tube 3 at a fixed distance b to one
another; and a balloon 7 having two sleeves 8, 9 fixed to the outer
tube 2 and the inner tube 3, respectively, wherein that the
distance b between the markers 5, 6 is set to be at least
approximately equal to the distance a between the tip 4 and the
marker 5 neighbouring the tip 4.
Inventors: |
Warnack; Boris; (Mountain
View, CA) |
Correspondence
Address: |
LUCE, FORWARD, HAMILTON & SCRIPPS
11988 EL CAMINO REAL, SUITE 200
SAN DIEGO
CA
92130
US
|
Assignee: |
ABBOTT LABORATORIES VASCULAR
ENTERPRISES LIMITED
Dublin
IE
|
Family ID: |
37245912 |
Appl. No.: |
12/063662 |
Filed: |
August 17, 2006 |
PCT Filed: |
August 17, 2006 |
PCT NO: |
PCT/EP06/08117 |
371 Date: |
May 11, 2009 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
|
|
60709627 |
Aug 19, 2005 |
|
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|
Current U.S.
Class: |
606/194 |
Current CPC
Class: |
A61M 25/104 20130101;
A61M 25/10 20130101 |
Class at
Publication: |
606/194 |
International
Class: |
A61M 25/10 20060101
A61M025/10 |
Claims
1) Catheter having a distal portion bearing a functional unit and a
catheter tip distal of the functional unit, the distal portion of
the catheter comprising a distal marker and a proximal marker,
wherein the distance between the distal end of the catheter tip and
the center of the distal marker is approximately equal to the
distance between the center of the distal marker and the center of
the proximal marker.
2) Catheter according to claim 1 wherein the functional unit is a
balloon.
3) Catheter according to claim 1 wherein the distal marker is
located in the center of the functional unit.
4) Catheter according to claim 1 wherein the distal and the
proximal marker are visually distinguishable from each other under
x-Ray.
5) Use of a catheter according to claim 2 for treatment of coronary
total occlusions.
6) Method of treating a coronary total occlusion comprising the
steps of a. providing a catheter having a distal portion bearing a
balloon and a catheter tip distal of the balloon, the distal
portion of the catheter comprising a distal marker and a proximal
marker, the distal marker being located in the center of the
balloon; wherein the distance between the distal end of the
catheter tip and the center of the distal marker is approximately
equal to the distance between the center of the distal marker and
the center of the proximal marker; b. inserting the catheter into a
patient's blood vessels; c. advancing at least a distal portion of
the catheter across the occlusion in the vessel; d. positioning the
balloon within the occlusion; e. inflating the balloon; f.
deflating the balloon; and g. retracting the catheter from the
vessel.
Description
[0001] The invention concerns a catheter, in particular a PTCA
catheter, according to the preamble part of claim 1.
[0002] A catheter according to the preamble part of claim 1 usually
includes one or two markers, in particular in form of marker bands,
made from radiopaque material to identify the position of the
balloon within the anatomy when using X-ray imaging methods. Other
parts of the catheter, especially the catheter tip, remain nearly
invisible for X-ray imaging.
[0003] Catheter markers are well known in the art to enable the
physician to track the position of the catheter in the patient's
body under X-Ray. As described in U.S. Pat. No. 5,779,731 and U.S.
Pat. No. 5,846,199 radiopaque markers can be used to indicate the
working length of the balloon of a balloon catheter. U.S. Pat. No.
5,209,730 describes a method for accurate placement of a balloon
catheter across a stenosis employing cooperating radiopaque markers
on the guidewire and the catheter. Further, as depicted in U.S.
Pat. No. 5,669,932, markers are employed to indicate the position
of the stent in a stent delivery catheter. Markers can be made of
diverse materials such as radiopaque metal alloys or polymers doped
with radiopaque material as described in U.S. Pat. No. 6,540,721.
In special cases, however, it is important for the physician not
only to know the accurate position of the balloon but also to know
whether the tip of the catheter has already entered a certain
region of the lumen the catheter has been introduced in, and in
particular whether the catheter has already entered a tight lesion,
or not.
[0004] It is therefore an object of the present invention to
provide a catheter according to the preamble part of claim 1 that
is able to facilitate the handling thereof, especially in terms of
the identification of the positioning of the catheter tip.
[0005] The solution of this object is achieved by the features of
claim 1.
[0006] The catheter according to the present invention makes it
possible to give a tool to the physician to judge whether the tip
of the catheter has already entered a certain region of a vessel,
especially an occlusion, or not. For the treatment of chronic total
occlusion (CTO), the tip and the complete distal part of the
catheter has to be very thin and low in diameter, to offer the
highest possibility to pass the lesion. As it is not possible to
make the tip of a catheter from a radiopaque material or to fill
the polymer with a radiopaque agent as this would inevitably
thicken the catheter, what would not be acceptable for the reasons
given hereinbefore, the catheter of the present application is
especially advantageous as it can be kept very thin.
[0007] This specific advantage is achieved by the invention and
provides that there is a second radiopaque marker, especially
proximal of the balloon, that is located proximally at the same
distance from the balloon marker neighbouring the tip in the distal
direction. This second proximal marker serves as a measuring
marker. The physician can thus judge the distance from the first
distal marker to the tip by using the known distance between the
measuring marker and the first marker that is advantageously
located in the balloon.
[0008] The markers can be of various materials, such as solid or
wired platinum, iridium, gold tantalum etc. The proximal measuring
marker should have a different geometry than the first marker
(balloon marker) to avoid mixing up and to avoid a balloon
dilatation at a wrong position.
[0009] The dependent claims contain advantageous embodiments of the
present application.
[0010] Furthermore, the invention also concerns the use of the
catheter according to the present invention in treating vessels, in
particular blood vessels, that are blocked especially by a total
occlusion. In general, the catheter according to the present
invention can be used as a usual PTCA catheter but furnishes the
advantage that the physician using the inventive catheter can judge
where the catheter tip is located within the vessel by using the
known distance between the measuring marker and the balloon marker
in order to evaluate where the more or less invisible catheter tip
is positioned.
[0011] Further features and advantages of the present application
will become apparent from the description of the single FIGURE of
the drawings.
[0012] This single FIGURE is a schematically simplified
illustration of a catheter 1, especially in the form of a PTCA
catheter. A catheter 1 comprises an outer tube 2 and an inner guide
wire tube 3 that is located within the outer tube 2, in particular
concentrically oriented with respect to said outer tube 2.
[0013] The inner guide wire tube 3 guiding the guide wire 10
includes a tip 4. The single figure of the drawing shows the
catheter 1 being located in a vessel V with a tip 4 abutting
against a total occlusion O of said vessel V.
[0014] For the purpose of visualization of the positioning of the
catheter 1 within said vessel V, e.g. by X-ray, the catheter 1
comprises two radiopaque markers 5 and 6 fixed to the inner guide
wire tube 3. Marker 5 serves as balloon marker and is centrically
positioned in the balloon. The tip 4, however, is virtually
invisible. So, according to the principles of the present
application, the two markers 5 and 6 are disposed with respect to
one another at a known distance b that is set to be equal to a
distance a between marker 5 and tip 4.
[0015] According to the depicted embodiment, the marker 5 is a
first marker being disposed within the balloon 7 that, of course,
is not yet inflated in the condition shown in the figure. The
marker 6 is disposed proximal of the balloon 7 at said known
distance b.
[0016] In order to be able to guide the catheter 1 through the
occlusion O, it is not possible to dispose another marker at or
nearby tip 4 as this would unacceptably thicken the catheter 1.
[0017] As, however, the distances a and b are equal or at least
nearly equal, the physician can evaluate the positioning of the tip
4 upon visualization of the markers 5 and 6 as he knows that these
markers 5 and 6 are disposed with respect to one another at the
known distance b.
REFERENCE NUMERALS
[0018] 1 Catheter
[0019] 2 Outer tube
[0020] 3 Inner guide wire tube
[0021] 4 Tip
[0022] 5 First marker (balloon marker)
[0023] 6 Second marker (proximal marker)
[0024] 7 Balloon
[0025] 8 Sleeve (fixed to outer tube 2)
[0026] 9 Sleeve (fixed to inner tube 3)
[0027] 10 Guide Wire
[0028] b known distance between markers 5 and 6
[0029] a distance between marker 5 and tip 4
[0030] V Vessel
[0031] O Occlusion
[0032] (The catheter described as a PTCA catheter comprising a
balloon can also be a catheter without a balloon according to the
principles of the present invention)
* * * * *